Suzanne Yoder, MD | |
2055 High Street, #370, Denver, CO 80205-5504 | |
(303) 839-6001 | |
(303) 839-6033 |
Full Name | Suzanne Yoder |
---|---|
Gender | Female |
Speciality | Surgery - Pediatric Surgery |
Location | 2055 High Street, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083836589 | NPI | - | NPPES |
10025570000 | Medicaid | NE | |
1083836589 | Medicaid | WI | |
1083836589 | Medicaid | WY | |
69972770 | Medicaid | CO | |
1083836589 | Medicaid | MT | |
7721930 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | A69017 (California) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 45805 (Colorado) | Primary |
Entity Name | Banner Physician Super Specialists Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353 |
Mailing Address | Practice Location Address |
---|---|
Suzanne Yoder, MD 1400 E Church St, Medical Staff Office, Santa Maria, AR 93454 Ph: (805) 739-3114 | Suzanne Yoder, MD 2055 High Street, #370, Denver, CO 80205-5504 Ph: (303) 839-6001 |
Dr. Cassandra Alys Ligh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2045 N Franklin St, Denver, CO 80205 Phone: 303-338-4545 | |
Deborah K Davis-merritt, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1960 Ogden St Ste 400, Denver, CO 80218 Phone: 303-318-1510 Fax: 303-318-2481 | |
Walter B Vernon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4545 E 9th Ave Ste 375, Denver, CO 80220 Phone: 303-952-2300 Fax: 303-722-0201 | |
Dr. Brad C Mcdowell, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2045 N Franklin St, Department Of Plastic Surgery, Denver, CO 80205 Phone: 303-338-4545 | |
Rebecca G Jiron, Surgery Medicare: Not Enrolled in Medicare Practice Location: 2045 Franklin St, Denver, CO 80205 Phone: 303-743-5855 | |
Jeffrey L Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Mc 0206, Denver, CO 80204 Phone: 303-436-6559 | |
Jeffery R Clark, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2005 Franklin St, Midtown 2 #300, Denver, CO 80205 Phone: 303-318-2250 Fax: 303-318-2252 |